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NPI Code Detail

MEDICARE: CENTURY VILLAS, INC.

MEDICARE: CENTURY VILLAS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility060005491IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000097938OTHERINANTHEM

General Provider Information

NPI Number : 1225068232
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTURY VILLAS, INC.
Provider Business Mailing Address
First Line : 705 N MERIDIAN ST
Second Line :
City : GREENTOWN
State : IN
Zip : 46936-1246
Country : US
Telephone Number : 765-628-3377
Fax Number : 765-628-3950
Provider Business Practice Location Address
First Line : 705 N MERIDIAN ST
Second Line :
City : GREENTOWN
State : IN
Zip : 46936-1246
Country : US
Telephone Number : 765-628-3377
Fax Number : 765-628-3950
Authorized Official
Title or Position : OWNER
Name : MS. JANET H LEMLER
Credential : RN
Telephone Number : 765-628-3377
Provider Enumeration Date : 07/04/2006
Last Update Date : 07/08/2013

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Directions to “CENTURY VILLAS, INC. ” Practice Location

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